Permit (112) N4CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2017-00262
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/03/2017
Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 375
Project: Spec Space Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI-Scope of work includes demolition of walls,add new wall,doors and relite,new cabinetry and new light fixtures.
Contractor: RUSSELL CONSTRUCTION INC Owner: LINCOLN CENTER LLC
20915 SW 105TH AVE BY SHORENSTEIN PROPERTIES LLC
TUALATIN, OR 97062 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-692-9002 PHONE:
FAX: 503-692-9008
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IB DC Provision Review,COM TI-Ping 10/03/2017 $91.00
Occupancy Grp: B Occupancy Load: 29 Permit Fee-Additions,Alterations, 10/03/2017 $393.11
Demolition
Dwelling Units: 0 12%State Surcharge-Building 10/03/2017 $47.17
Stories: 12 Height: 0 ft Plan Review 10/03/2017 $255.52
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/03/2017 $157.24
Value: $21,000 Info Process/Archiving-Lg$2.00(over 10/03/2017 $8.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $952.04
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by callin 503.232.1987 or 1.800.332.2344.
i
Issued By: ' / -. P . . Permittee Signature: AP Ai
�I .r�-
1 ' V
Call 503.639.4175 by 7:00 a.m.for the next available inspec on date.
This permit card shall be kept in a conspicuous place on the job site until completion of th4 project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial `` " FOR OFFICE,I. ONLY
City of Tigard Received
: f4 . syr leis¢ /7�taa6.Z-
Permit No
11 13125 SW Hall Blvd.,Tigard,OR 97223 ..,.
) Plan Review Other Permit:
' Phone: 503.718.2439 Fax: 503.598.196b%'-= ' `'' ' '' Date/B : /' '� r - 3--
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: ions: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
r.... ... �
. T E; t a REQUI D DATA I 2AMLDWE47,1O
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGOOF ii:: i'r$1TIwork indicated on this pplication.RCON
El1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITZ. INFORMATION tND LOCATION Total number of floors:
Job site address:Lincoln Tower-10260 SW Greenburg Road New dwelling area: square feet
City/State/ZIP:Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:375 Project name:Vacancy Space Prep Covered porch area: square feet
Cross street/directions to job site:Project located north of SW oak street, Deck area: square feet
south of SW Locust Street and east of Greenburg Road Other structure area: square feet
IIEQ RI 1I ATA CO1441YIEIECIAI, C E CIIECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRU? IO oYF"ygrai x work indicated on this application.
Work to include demolition,a new wall,doors and relite,new cabinetry and new Valuation: $$21,000.00
light fixtures. Existing building area: 2,868 square feet
New building area: 2,868 square feet
►a PRORT ONVNER Number of stories: 1
-.. .:: TFNAI1iT
Name:Shorenstein Type of construction: I-B
Address:5800 Meadows Rd.,Suite 240 Occupancy groups:
City/State/ZIP:Lake Oswego,OR 97035 Existing: B
Phone:(503)412-4800 Fax:(503)412-4903 New: B
►eAP"I"I.,LCANT C] CONTACT PERSON BI ithiNG ITE
Business name:Mackenzie
Structural plan review fee(or deposit):
Contact name:Chloe Kirchhofer
FLS plan review fee(if applicable):
Address:1515 SE Water Ave Suite 100
Total fees due upon application:
City/State/ZIP:Portland,OR 97214
Phone:(503)224-9560 Fax::(503)228-1285
Amount received:
E-mail:ckirchhofer@mcknze.com PHOTOVOLTAIC SOLAR P.i NEI`SYSTEM S
COITRATOit .. . . . .. .....
Commercial and residential prescriptive installation of
P
.:.. ,;.. .. ; roof top mounted Photovoltaic Solar Panel System.
Business name:Russell Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:20915 SW 105th Ave Solar Installation Specialty Code checklist.
City/State/ZIP:Tualatin,OR 97062 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)692-9002 Fax:(503)692-9008
State surcharge(12%of permit fee): $21.60
CCB lie.:58918 Total fee due upon application: $201.60
Authorized signature: CJk '6`, This permit application expires if a permit is not obtained
` within 180 days after it has been accepted as complete.
Print name:Chloe Kirchhofer Date:10/03/2017 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
a COMMUNITY DEVELOPMENT DEPARTMENT
■
T1cnRD Building Permit Review — Commercial - No Land Use
Building Permit #: , -lfi/,of 7-00 e2-&—
Site Address: 1020 &v\/ I lSuite/Bldg#: 7S
Project Name: L1na l V Tt
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: S G SplGe T. I.
Existing Business Activity: VatArl÷
Business Activity: Wet vrt-
.)XVerify site address/suite# exists and active in permit system.
Igit"–River Terrace Neighborhood: ❑ Yes AL"-No
Zoning: )1/41(A:6—
Permitted Use: ❑ Yes ❑ No X Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes No,applicant notified to obtain business license
Notes:
Approved by Planning: AVIWODate: o k (17
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /0/3//7
Site Plans: #
Building Plans: # 3
Building Permit#: t0'Enter building permit#above.
Workflow Routing: 11-1Planning ❑ Permit Coordinator C wilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: I - Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: r1 Date: /4/3/
I:\Building\Fonns\BldgPennitRvw_COM_NolandUse 070915.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to °pplicant:
Revision Notice 2: Date Se. to Applicant:
Revision Notice 3: Dat- ent to Applicant:
❑ SDC Fees Entered: ash Co Trans Dev Tax: ❑ Yes ❑ N/A
,,/' Tigard Trans SDC: ❑ Yes ❑ N/A
`// Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issuermit
Approve y Permit Coordinator: Date:
I:\Building\Fonns\BIdgPennitRvw_COM_NoLandUse_070915.docx
City of Tigard • BUILDING DIVISION
Over-The-Counter (OTC) Building & Fire Protection System Permit
T I c n I.n Appointment Checklist
Permit Record#: "Gf/,< 2.d/7 -4002-6,,P—
Contact
2a-&,P—
Contact Name: ClfZ-p 6- /C//Z Cf-/#0F472- Phone#:6d3 - .242 y— 75-6,0
Business Name: /sic k.6-7.1 / Appt. Date/Time: 10/).7 /aj 0/17
Site Address: /D026 o Soul 672 i amu, /2-46 Bldg/Suite #: , +7S'
Project Name: SA-C... S"o-CAS" New Tenant? 0 Yes 0 No
Project Description: a et_,T OA/ dF /4/7a i0/e,, 4L ,,/cZJ Ga09-1- /�' op fz
2E L/7 3 / A/E ) C 9-3 inf
Existing Use: O/, C E-- New Use: 00�_
MMD Required: 0 Yes No Related Record#:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: A j 7 Occupancy Group: (3 Type of Construction: Q
Type of Use: Li Occupancy Load: 9. Oregon Specialty Code: ,g4, ) 4.-
SPECIFICS
Number of Stories: j '1... Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front
Sideyard Setback—Right Sideyard Setback—Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: ll VS Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Caks Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ 01// 07rD ?EES DUE .S6-0.
$ q 1 DC Prov Rvw,COM TI—Ping
$3 9 3. ) ] Permit Fee—Add,Alt,Demo (..��""
DC Provision Review Fee for COM TI(effective 7/1/2017) $ ti 7 . ' 7 12%State Surcharge
Project Valuation $ ass,4ca Plan Review,Structural
Up to$4,999 $0.00 $ I S 7 .aLt Plan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ $ _✓ Info Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $226.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $361.00 $ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: t".$ Cj 1/45-a.011, TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10260 SW GREENBURG RD 375, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Building BUP2017-00262
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor